Provider Demographics
NPI:1144607524
Name:RAMICH, BRIAN (LISW)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:
Last Name:RAMICH
Suffix:
Gender:M
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1071 SEA EAGLE WATCH
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-8252
Mailing Address - Country:US
Mailing Address - Phone:843-763-2104
Mailing Address - Fax:843-654-4850
Practice Address - Street 1:2000 SAM RITTENBURG BLVD
Practice Address - Street 2:SUITE 2011
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-4631
Practice Address - Country:US
Practice Address - Phone:843-763-2104
Practice Address - Fax:843-654-4850
Is Sole Proprietor?:No
Enumeration Date:2015-05-05
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical